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Organization

CENTER OPTICAL, INC.

Active
Other names
Pioneer Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUDY ANN HEIN (VICE PRESIDENT/CFO)
(608) 647-7369
Entity
Organization

Contact information

Practice address
132 N CENTRAL AVE, RICHLAND CENTER, WI 53581-2225
(608) 647-7369
(608) 647-2292
Mailing address
132 N CENTRAL AVE, RICHLAND CENTER, WI 53581-2225
(608) 647-7369
(608) 647-2292

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MD88588
WI
156FX1800X
Optician
03945
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098002
VIPA
WI
01
1044060
PHYSICIANS PLUS HMO
WI
01
38718500
BLUE CROSS/BLUE SHIELD
WI
05
38718500
WI
Enumeration date
08/10/2006
Last updated
01/29/2008
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